Evidence map›Paper›PMID 33060704›Full record

ArticleScientific reports2020

Statin use is associated with lower disease severity in COVID-19 infection.

Wilnard Y T Tan, Barnaby E Young, David Chien Lye, Daniel E K Chew, Rinkoo Dalan

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Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  5. Statin and outcomes of coronavirus disease 2019 (COVID-19): A systematic review, meta-analysis, and meta-regression.Nutrition, metabolism, and cardiovascular diseases : NMCD · 2021 · on this map
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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Wilnard Y T TanNational Centre for Infectious Diseases, Tan Tock Seng Hospital, Lee Kong Chian School of Medicine, Yong Loo Lin School of Medicine, 16 Jalan Tan Tock Seng, Singapore, 308442, Singapore.
Barnaby E YoungNational Centre for Infectious Diseases, Tan Tock Seng Hospital, Lee Kong Chian School of Medicine, Yong Loo Lin School of Medicine, 16 Jalan Tan Tock Seng, Singapore, 308442, Singapore.
David Chien LyeNational Centre for Infectious Diseases, Tan Tock Seng Hospital, Lee Kong Chian School of Medicine, Yong Loo Lin School of Medicine, 16 Jalan Tan Tock Seng, Singapore, 308442, Singapore.
Daniel E K ChewDepartment of Endocrinology, Tan Tock Seng Hospital, Lee Kong Chian School of Medicine, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Rinkoo DalanDepartment of Endocrinology, Tan Tock Seng Hospital, Lee Kong Chian School of Medicine, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore. Rinkoo_dalan@ttsh.com.sg.

Funding

Ministry of Health -Singapore http://dx.doi.org/10.13039/501100001350National Medical Research Council COVID19RF-001National Medical Research Council NMRC/CG/017/2013
6 · The paper itself

Abstract

We aim to study the association of hyperlipidemia and statin use with COVID-19 severity. We analysed a retrospective cohort of 717 patients admitted to a tertiary centre in Singapore for COVID-19 infection. Clinical outcomes of interest were oxygen saturation ≤ 94% requiring supplemental oxygen, intensive-care unit (ICU) admission, invasive mechanical-ventilation and death. Patients on long term dyslipidaemia medications (statins, fibrates or ezetimibe) were considered to have dyslipidaemia. Logistic regression models were used to study the association between dyslipidaemia and clinical outcomes adjusted for age, gender and ethnicity. Statin treatment effect was determined, in a nested case-control design, through logistic treatment models with 1:3 propensity matching for age, gender and ethnicity. All statistical tests were two-sided, and statistical significance was taken as p < 0.05. One hundred fifty-six (21.8%) patients had dyslipidaemia and 97% of these were on statins. Logistic treatment models showed a lower chance of ICU admission for statin users when compared to non-statin users (ATET: Coeff (risk difference): - 0.12 (- 0.23, - 0.01); p = 0.028). There were no other significant differences in other outcomes. Statin use was independently associated with lower ICU admission. This supports current practice to continue prescription of statins in COVID-19 patients.

Indexed as

AgedBetacoronavirusCase-Control StudiesCoronavirus InfectionsCOVID-19DyslipidemiasFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsImmunity, InnateIntensive Care UnitsLeukocyte CountLogistic ModelsMaleMiddle AgedPandemicsHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID33060704
PMCPMC7562925

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.